Bill To:

STATE FARM INSURANCE
PO BOX 52250
PHOENIX, AZ 85072-2250

Services Rendered To:

Johnny Dean
732 Olde Towne Drive
Irving, Texas 75061
Policy # 4362205C2443B


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  3. 101 Aerial/Ladder Response (Per Hour)

    $400.00
    1
    $400.00

  4. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 4 Miles West of Electra Southbound 287 - Electra, Texas

    Ordinance Info: City of Electra Cost Recovery Ordinance

Subtotal $875.00
Total Due $875.00


Checks Payable To:

Sure Fire Recovery Service, LLC
9711 S Mason Road 125-120
Richmond, TX 77407
Federal Tax ID – 83-4417185


  Please Include Incident Number On All Correspondence.
Updated
February 11, 2021 @ 11:07 am

Invoice updated by Geoffrey.

Status Update
February 11, 2021 @ 11:07 am

Status changed: Draft to Pending.

Updated
February 11, 2021 @ 11:07 am

Invoice updated by Geoffrey.